EMMA BRYANNE BLAKE

CORVALLIS, OR
NPI1275159006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR  201710072)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
EMMA BRYANNE BLAKE RN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
EMMA BRYANNE BLAKE RN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 541-234-9591